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Common things that can negatively impact vitamin B12 absorption and transportation: Strict vegan diet Low stomach acid diet Pancreatic insufficiency Intrinsic factor antibodies Slow TCNs - Fortified foods with synthetic folic acid SIBO Celiac Disease Crohns Vitamin B12 Supplements Vitamin B12 dietary supplements are very common

Researchers also continue discussing DSIP peptide function and DSIP peptide mechanism of action in peptide research communities